Healthcare Provider Details

I. General information

NPI: 1609525278
Provider Name (Legal Business Name): MOHUMMED SHAHROZE KAZMI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3140 LEGACY DR STE 710
FRISCO TX
75034-7917
US

IV. Provider business mailing address

3140 LEGACY DR STE 710
FRISCO TX
75034-7917
US

V. Phone/Fax

Practice location:
  • Phone: 214-494-2131
  • Fax:
Mailing address:
  • Phone: 214-494-2131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number102030
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberW0938
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: